SAMUEL BOERCKEL

GRAND RAPIDS, MI
NPI1538801451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010664)
Enumeration Date2022-04-11
Last Update Date2022-08-10
Business Address
SAMUEL BOERCKEL PA-C
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
Mailing Address
SAMUEL BOERCKEL PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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